Normal Lung Protocol

Question 1

What is the objective of normal lung protocol?

Answer 1

Ensure pts are adequately, safely, ventilated for the shortest period while reducing VILI

Question 2

Exclusion Criteria for Normal lung protocol (8)

Answer 2

1. Acute/chronic lung, pleural, or chest wall disease or abnormality
2. Acute TBI, closed head injury, or acute spinal cord injury
3. Post thoracic surgery
4. Shock or hemodynamic instability
5. Myocardial ischemia
6. Temp abnormality (outside 33-39)
7. Ongoing acidosis (pH less than 7.30)
8. Excluded at request of doc

Question 3

Normal lung protocol Initial vent settings

Answer 3

• MV 5-10
• Vt 6-8
• RR 10-20
• I:E = 1:1.5 or less (usually 1:2)
• FiO2 = 60%

Question 4

Setting Adjustment range for Normal lung protocol?

Answer 4

1. pH 7.3-7.5
2. PaCO2 =35-45
3. RR less than 35
4. PLAT less than 30
5. Driving pressure less than 18
6. Pt. synchrony and comfrt